Nielsen, Clifford E

Nielsen, Clifford E is an sole proprietor health care provider with primary practice located at 2000 Neuse Blvd , New Bern NC 28560-3449. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Nielsen, Clifford E can be contacted via phone (252) 633-8640.

Contact Information

Primary practice address
2000 Neuse Blvd New Bern NC 28560-3449
Phone: (252) 633-8640
Fax: (252) 636-5376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 175978 North Carolina

Profile Details

NPI number 1275567380
LBN Legal business name Nielsen, Clifford E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275567380 NPPES
North Carolina MEDICAID 8051655
North Carolina Other 014MR
North Carolina MEDICAID 8000311

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